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Uncategorized Published - 26 July, 2023    By - Dr Clemens
Lack of Useful Predictors of Dignity-Related Distress Among the Critically Ill as Assessed With the Patient Dignity Inventory

AUTHORS: Hadler, Rachel A. MD et al  Anesthesia & Analgesia February 24, 2023. BACKGROUND: Many intensive care unit patients are awake (ie, alert and engaging in conversation), actively experiencing many facets of their critical care. The Patient Dignity Inventory can be used to elicit sources of distress in these patients. We examined the administrative question […]

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Uncategorized Published - 26 July, 2023    By - Dr Clemens
A Frail Old Man

Author: Linda M. Lee, M.D. Anesthesiology Newly Published on July 2023. Knock Knock. I gently knock on the door, carefully walking in. From behind, he is a frail figure, his green hospital gown swallowing his being. He can’t quite swing his head fully around to look at me, so I move closer to the bed to […]

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Uncategorized Published - 26 July, 2023    By - Dr Clemens
Pro and Con: How Important Is the Exact Location of Adductor Canal and Femoral Triangle Blocks?

Authors: Woodworth, Glenn E. MD et al  Anesthesia & Analgesia 136(3):p 458-469, March 2023. In this Pro-Con commentary article, we debate the importance of anterior thigh block locations for analgesia following total knee arthroplasty. The debate is based on the current literature, our understanding of the relevant anatomy, and a clinical perspective. We review the anatomy […]

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Uncategorized Published - 26 July, 2023    By - Dr Clemens
Migraine: Why do attacks often occur during menstruation?

Author: Robby Berman MedicalNewsToday Researchers take a closer look at how estrogen levels may influence the release of a peptide linked with migraine. Image credit: Chelsea Victoria/Stocksy. A new study has found that migraine attacks experienced by cisgender women during menstruation may be the result of an increase in the peptide CGRP, which has been […]

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Uncategorized Published - 25 July, 2023    By - Dr Clemens
The rise of anesthesia reimbursement denials

Author: Patsy Newitt Becker’s ASC Review Anesthesia reimbursement denials are on the upward swing, according to a June 26 blog post from Rita Astani, president of anesthesia for Coronis Health. Payers seem to be using “computer algorithms or narrowly trained staff to deliberately slow down or sabotage payouts,” according to the post, which cited a KFF report […]

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Uncategorized Published - 25 July, 2023    By - Dr Clemens
Ambulatory Anesthesia and NORA: Current Status and Future Considerations

Author: Girish P. Joshi, MBBS, MD, FFARCSI ASA Monitor June 2022, Vol. 86, 24. Minimally invasive approaches, facilitated with advanced technology such as augmented reality, mixed reality, and robotics, as well as artificial intelligence (AI), novel imaging, innovative navigation systems, and 3D printing, will extend the capabilities of surgeons and proceduralists. Next-generation surgical robotics will be […]

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Uncategorized Published - 25 July, 2023    By - Dr Clemens
Postoperative Transfusions after Administration of Delayed Cold-stored Platelets versus Room Temperature Platelets in Cardiac Surgery

Authors: Allan M. Klompas, M.B.B.Ch. et al  Anesthesiology August 2023, Vol. 139, 153–163. Background Delayed cold storage of room temperature platelets may extend shelf life from 5 to 14 days. The study hypothesized that the use of delayed cold-stored platelets in cardiac surgery would be associated with decreased postoperative platelet count increments but similar transfusion and […]

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Uncategorized Published - 25 July, 2023    By - Dr Clemens
Patient-, Clinician-, and Institution-level Variation in Inotrope Use for Cardiac Surgery

Authors: Michael R. Mathis, M.D. et al  Anesthesiology August 2023, Vol. 139, 122–141. Background Conflicting evidence exists regarding the risks and benefits of inotropic therapies during cardiac surgery, and the extent of variation in clinical practice remains understudied. Therefore, the authors sought to quantify patient-, anesthesiologist-, and hospital-related contributions to variation in inotrope use. Methods In […]

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Uncategorized Published - 25 July, 2023    By - Dr Clemens
SAMBA: A Great Resource for All Practitioners of Ambulatory Anesthesia

Author: Dawn Schell, MD ASA Monitor February 2023, Vol. 87, 31. Currently, nearly 70% of all surgeries in the United States are performed as outpatient procedures, with almost 23 million of these performed annually in ambulatory surgery centers (ASCs) alone (Natl Health Stat Report 2017;102:1-15). And the numbers continue to grow. Over 6,000 Medicare-certified ASCs now […]

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Uncategorized Published - 24 July, 2023    By - Dr Clemens
Predicting Death or Disability after Surgery in the Older Adult

Authors: Mark A. Shulman, Ph.D. et al Anesthesiology July 2023. Background Older patients are vulnerable to developing new or worsening disability after surgery. Despite this, patient or surgical characteristics predisposing to postoperative disability are poorly defined. Our aim was to develop and validate a model, subsequently transformed to point-score form, to predict 6-month death or […]

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